Provider Demographics
NPI:1043537038
Name:PIPESTONE, MICHAEL BROOKS (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:BROOKS
Last Name:PIPESTONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:MICHAEL
Other - Middle Name:BROOKS
Other - Last Name:PARROTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:801 OSTRUM ST
Mailing Address - Street 2:ST LUKE'S ENROLLMENT CENTER
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1000
Mailing Address - Country:US
Mailing Address - Phone:484-526-3285
Mailing Address - Fax:484-526-6500
Practice Address - Street 1:801 OSTRUM ST
Practice Address - Street 2:ST LUKE'S ENROLLMENT CENTER
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-1000
Practice Address - Country:US
Practice Address - Phone:484-526-3285
Practice Address - Fax:484-526-6500
Is Sole Proprietor?:No
Enumeration Date:2010-04-29
Last Update Date:2017-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD455768207Q00000X, 207QH0002X
MN54743207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine